Surgical treatment of primary congenital cardiac tumors in children
10.3760/cma.j.issn.1008-1372.2016.06.007
- VernacularTitle:小儿原发先天性心脏肿瘤的外科治疗
- Author:
Li XIA
;
Chengming FAN
;
Xiaoming WU
;
Fenglin SONG
- Publication Type:Journal Article
- Keywords:
Heart neoplasms/SU;
Deep sedation;
Echocardiography,doppler,color
- From:
Journal of Chinese Physician
2016;18(6):826-828
- CountryChina
- Language:Chinese
-
Abstract:
Objective To review and summarize the experience of surgical treatment of primary cardiac tumors in children from a heart center of China.Methods The pathological studies of 11 cases of primary cardiac tumor (except myxoma) were retrospectively analyzed.Results The mean age for all patients was (23 ± 16) months,and the average weight was 3.1 ～ 15.3 (13 ± 5.7) kg at the time of the established diagnosis.The most common reason of admission was the heart murmur,and the most common pathological type of cardiac tumors was rhabdomyoma (5 cases),followed by fibrous tumor (3 cases),angiofibroma (2 cases),and fibrosarcoma (1 case).All of the patients underwent tumor resection due to the corresponding symptoms.One of them,the operation findings showed the aortic root,superior vena and sinoatrial node were involved into the tumor body,and therefore,the tumor debark resection was performed and the child died 2 years later due to the remained tumor progression.One of other children (pericardial fibrosarcoma) died 1 year late because of tumor recurrence.The others were followed-up for duration of 2 ～9 years and all kept in good condition.Conclusions The surgical resection is mandatory for children suffering with symptomatic primary cardiac tumors and the short-term and long term surgical outcomes for the majority are acceptable.
